DANNY LINGGONEGORO

REDWOOD CITY, CA
NPI1003556515
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  A191221)
Additional Taxonomies208000000X Pediatrics
(Licence: MA  293781)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-31
Last Update Date2024-04-12
Business Address
DANNY LINGGONEGORO
450 BROADWAY ST FL C2
REDWOOD CITY, CA 94063-3132
Phone number: 650-721-7190
Mailing Address
DANNY LINGGONEGORO
450 BROADWAY ST FL C2
REDWOOD CITY, CA 94063-3132
Phone number: 650-721-7190